COVID-19 and Decompressive Hemicraniectomy for Acute Ischemic Stroke.
John W. Liang,Alexandra S. Reynolds,Kaitlin Reilly,Cappi Lay,Christopher P. Kellner,Tomoyoshi Shigematsu,Jeffrey Gilligan,Shahram Majidi,Fawaz Al-Mufti,Joshua B. Bederson,J Mocco,Mandip S. Dhamoon,Neha S. Dangayach +12 more
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TLDR
A positive test for COVID-19 should not be used in isolation to exclude patients from a potentially lifesaving procedure, and patients with large hemispheric stroke can have a good outcome with decompressive hemicraniectomy.Abstract:
Background and Purpose: Young patients with malignant cerebral edema have been shown to benefit from early decompressive hemicraniectomy. The impact of concomitant infection with coronavirus diseas...read more
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COVID-19 and Cerebrovascular Diseases: A Systematic Review and Perspectives for Stroke Management.
Pedro Fraiman,Clécio de Oliveira Godeiro Junior,Elena Moro,Francesco Cavallieri,Marialuisa Zedde +4 more
TL;DR: Cerebrovascular events are relatively common findings in COVID-19 infection, and they could have a multifactorial etiology, and more accurate and prospective data are needed to better understand the impact of cerebrov vascular events in COIDs.
Journal ArticleDOI
COVID-19: Neuroimaging Features of a Pandemic.
Theodoros Ladopoulos,Ramin Zand,Shima Shahjouei,Jason J. Chang,Jason J. Chang,Jeremias Motte,Jeyanthan Charles James,Aristeidis H. Katsanos,Ali Kerro,Ghasem Farahmand,Alaleh Vaghefi Far,Nasrin Rahimian,Seyed Amir Ebrahimzadeh,Vida Abedi,Matilda Papathanasiou,Adnan Labedi,Ruth Schneider,Carsten Lukas,Sotirios Tsiodras,Georgios Tsivgoulis,Georgios Tsivgoulis,Christos Krogias +21 more
TL;DR: In this article, the authors identified 115 studies reporting a total of 954 COVID-19 patients with associated neurological manifestations and neuroimaging alterations, including cerebral microbleed positive images.
Journal ArticleDOI
Pharmacological and cardiovascular perspectives on the treatment of COVID-19 with chloroquine derivatives
Xiaolei Zhang,Zhuoming Li,Jiantao Ye,Jing Lu,Lingyu Linda Ye,Chun-xiang Zhang,Peiqing Liu,Dayue D Duan +7 more
TL;DR: From pharmacological and cardiovascular perspectives, the treatment of COVID-19 with chloroquine and its derivatives should be systematically evaluated, and patients should be routinely monitored for cardiovascular conditions to prevent lethal adverse events.
Journal ArticleDOI
Severe Neurologic Complications of SARS-CoV-2
TL;DR: A review of the literature of severe neurologic complications of SARS-CoV-2 and cases from our institution to illustrate these conditions can be found in this article, however, the true prevalence is unknown.
Journal ArticleDOI
Geospatial Distribution of Neurosurgeons Age 60 and Older Relative to the Spread of COVID-19.
Tarun K. Jella,Ansh Desai,Taral Jella,Michael P. Steinmetz,Kristopher T. Kimmell,James Wright,Christina Huang Wright +6 more
TL;DR: In this paper, the authors performed an ecological study to analyze the geospatial distribution of neurosurgeons ≥ 60 years old and compare these data with the spread of 2019 novel coronavirus disease (COVID-19) across the United States.
References
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Journal ArticleDOI
Large-Vessel Stroke as a Presenting Feature of Covid-19 in the Young.
Thomas J Oxley,J Mocco,Shahram Majidi,Christopher P. Kellner,Hazem Shoirah,I. Paul Singh,Reade De Leacy,Tomoyoshi Shigematsu,Travis R. Ladner,Kurt A. Yaeger,Maryna Skliut,Jesse Weinberger,Neha S. Dangayach,Joshua B. Bederson,Stanley Tuhrim,Johanna T Fifi +15 more
TL;DR: Five patients younger than 50 years of age with large-vessel stroke and Covid-19 infection presented to a health system in New York City over a 2-week period with signs of stroke and infection.
Journal ArticleDOI
Decompressive Surgery for the Treatment of Malignant Infarction of the Middle Cerebral Artery (DESTINY). A Randomized, Controlled Trial
Eric Jüttler,Stefan Schwab,Peter Schmiedek,Andreas Unterberg,Michael G. Hennerici,Johannes Woitzik,Steffen Witte,Ekkehart Jenetzky,Werner Hacke +8 more
TL;DR: DESTINY showed that hemicraniectomy reduces mortality in large hemispheric stroke, and the steering committee decided to terminate the trial in light of the results of the joint analysis of the 3 European hemicaniectomy trials.
Journal ArticleDOI
Surgical decompression for space-occupying cerebral infarction (the Hemicraniectomy After Middle Cerebral Artery infarction with Life-threatening Edema Trial [HAMLET]): a multicentre, open, randomised trial
Jeannette Hofmeijer,L. Jaap Kappelle,Ale Algra,G Johan Amelink,Jan van Gijn,H. Bart van der Worp +5 more
TL;DR: Surgical decompression reduces case fatality and poor outcome in patients with space-occupying infarctions who are treated within 48 h of stroke onset and there is no evidence that this operation improves functional outcome when it is delayed for up to 96 h after stroke onset.
Journal ArticleDOI
Sequential-Design, Multicenter, Randomized, Controlled Trial of Early Decompressive Craniectomy in Malignant Middle Cerebral Artery Infarction (DECIMAL Trial)
Katayoun Vahedi,Eric Vicaut,Joaquim Mateo,A. Kurtz,M. Orabi,Jean-Pierre Guichard,Carole Boutron,G. Couvreur,François Rouanet,Emmanuel Touzé,Benoit Guillon,Alexandre Carpentier,Alain Yelnik,Bernard George,Didier Payen,Marie-Germaine Bousser +15 more
TL;DR: In this trial, early decompressive craniectomy increased by more than half the number of patients with moderate disability and very significantly reduced the mortality rate compared with that after medical therapy.